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We are seeking a detail-oriented Medical Billing Specialist to join our healthcare team. This role is responsible for accurate billing, claims submission, payment posting, and follow-up to ensure timely reimbursement from insurance carriers and patients. The ideal candidate has a strong understanding of medical billing processes, payer rules, and HIPAA compliance.
Job Responsibility
Prepare, review, and submit medical claims to commercial insurance, Medicare, and Medicaid
Verify patient insurance eligibility and benefits
Post payments, adjustments, and denials accurately
Follow up on unpaid or denied claims and resolve billing discrepancies
Review Explanation of Benefits (EOBs) for accuracy
Communicate with insurance companies, patients, and internal teams regarding billing questions
Maintain patient confidentiality and comply with HIPAA regulations
Ensure billing practices align with payer guidelines and company policies
Requirements
1+ years of experience in medical billing or healthcare revenue cycle
Strong knowledge of CPT, ICD-10, and HCPCS codes
Experience with insurance follow-up, denials, and appeals
Familiarity with EHR/medical billing systems (e.g., Epic, Athena, NextGen, or similar)
Proficiency in Microsoft Office, especially Excel
High attention to detail and strong organizational skills
Medical Billing certification (CPB, CPC, or equivalent)
Experience with multiple payer types and high-volume billing environments
Knowledge of AR management and collections
Nice to have
Medical Billing certification (CPB, CPC, or equivalent)
Experience with multiple payer types and high-volume billing environments